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Request for Information
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Please complete all required fields (Required fields are in bold) .
Candidate's Personal Information
 
Name:
First Middle Last
Nickname: (if different from first name)

Birthdate (Year,Month,Day):
Gender:

Male Female
Parent/Guardian:
 
Mailing Address
Home Address Line 1:
Home Address Line 2:
City:
State:
Zip/Postal Code:
Country (if not USA):
Preferred Email:
  Please indicate an email address that you check regularly as some correspondence will be sent only via email.
 
Phone:
Additional Information
 
Applying for Entrance in September:
Applying for Grade:
Current Grade:
 
Have you previously requested information from Exeter?
No Yes
 
Has an Exeter Admissions officer visited your school recently?
No Yes
 
From whom did you hear about Exeter?
Name of Current School:
Address:
City:
State:
Zip/Postal Code:
Country:
Type of School: